The nurse is caring for a child with congestive heart failure. Which of the following indicates the child and her parents are following the prescribed medical regimen?

No significant changes in daily weights


• Reporting no significant changes in daily weights demonstrates adequate nutritional intake and also a lack of edema from fluid overload and retention.

• Diuretics are often prescribed to decrease edema, thus reducing preload and afterload. Daily weights are considered the best way to gauge the diuretic’s effectiveness.

• Make sure that children are weighed every day at the same time, with the same scale, and in the same clothing, so measurements are accurate and any weight loss can be noted easily.

• Incorrect: A pulse rate of 50 (bradycardia), nausea, and vomiting indicates digoxin toxicity. Daily antibiotics are not indicated.

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